AHIP MODULE 1 EXAM PAPER UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled by the Social Security Administration and has
been receiving disability payments. He is wondering whether he can
obtain coverage under Medicare. What should you tell him?. Answer:
d. After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
◉ Mr. Denton is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should
you tell him?. Answer: a. He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after dialysis
treatments start. Correct
◉ Ms. Henderson believes that she will qualify for Medicare
coverage when she turns 65, without paying any premiums, because
she has been working for 40 years and paying Medicare taxes. What
should you tell her?. Answer: a. In order to obtain Part B coverage,
she must pay a standard monthly premium, though it is higher for
individuals with higher incomes. Correct
,◉ Mr. Diaz continued working with his company and was insured
under his employer's group plan until he reached age 68. He has
heard that there is a premium penalty for those who did not sign up
for Part B when first eligible and wants to know how much he will
have to pay. What should you tell him?. Answer: b. Mr. Diaz will not
pay any penalty because he had continuous coverage under his
employer's plan. Correct
◉ Mrs. Pena is 66 years old, has coverage under an employer plan
and will retire next year. She heard she must enroll in Part B at the
beginning of the year to ensure no gap in coverage. What can you tell
her?. Answer: d. She may enroll at any time while she is covered
under her employer plan, but she will have a special eight-month
enrollment period that differs from the standard general enrollment
period, during which she may enroll in Medicare Part B. Correct
◉ Mrs. Kelly, age 65, is entitled to Part A, but has not yet enrolled in
Part B. She is considering enrollment in a Medicare health plan (Part
C). What should you advise her to do before she will be able to enroll
into a Medicare health plan?. Answer: Mrs. Kelly, age 65, is entitled
to Part A, but has not yet enrolled in Part B. She is considering
enrollment in a Medicare health plan (Part C). What should you
advise her to do before she will be able to enroll into a Medicare
health plan?
◉ Mrs. Park is an elderly retiree. She has a low, fixed income. What
could you tell Mrs. Park that might be of assistance?. Answer: d. She
, should contact her state Medicaid agency to see if she qualifies for
one of several programs that can help with Medicare costs for which
she is responsible. Correct
◉ Mr. Wu is eligible for Medicare. He has limited financial resources
but failed to qualify for the Part D low-income subsidy. Where might
he turn for help with his prescription drug costs?. Answer: a. Mr. Wu
may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance Program. Correct
◉ Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants to
understand the health care costs he might be exposed to under
Medicare if he were to require hospitalization as a result of an
illness. In general terms, what could you tell him about his costs for
inpatient hospital services under Original Medicare?. Answer: d.
Under Original Medicare, there is a single deductible amount due for
the first 60 days of any inpatient hospital stay, after which it
converts into a per-day coinsurance amount through day 90. After
day 90, he would pay a daily amount up to 60 days over his lifetime,
after which he would be responsible for all costs Correct
◉ Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy hospital
stay she will need a month or two of nursing and rehabilitative care.
What should you tell them about Original Medicare's coverage of
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled by the Social Security Administration and has
been receiving disability payments. He is wondering whether he can
obtain coverage under Medicare. What should you tell him?. Answer:
d. After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
◉ Mr. Denton is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should
you tell him?. Answer: a. He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after dialysis
treatments start. Correct
◉ Ms. Henderson believes that she will qualify for Medicare
coverage when she turns 65, without paying any premiums, because
she has been working for 40 years and paying Medicare taxes. What
should you tell her?. Answer: a. In order to obtain Part B coverage,
she must pay a standard monthly premium, though it is higher for
individuals with higher incomes. Correct
,◉ Mr. Diaz continued working with his company and was insured
under his employer's group plan until he reached age 68. He has
heard that there is a premium penalty for those who did not sign up
for Part B when first eligible and wants to know how much he will
have to pay. What should you tell him?. Answer: b. Mr. Diaz will not
pay any penalty because he had continuous coverage under his
employer's plan. Correct
◉ Mrs. Pena is 66 years old, has coverage under an employer plan
and will retire next year. She heard she must enroll in Part B at the
beginning of the year to ensure no gap in coverage. What can you tell
her?. Answer: d. She may enroll at any time while she is covered
under her employer plan, but she will have a special eight-month
enrollment period that differs from the standard general enrollment
period, during which she may enroll in Medicare Part B. Correct
◉ Mrs. Kelly, age 65, is entitled to Part A, but has not yet enrolled in
Part B. She is considering enrollment in a Medicare health plan (Part
C). What should you advise her to do before she will be able to enroll
into a Medicare health plan?. Answer: Mrs. Kelly, age 65, is entitled
to Part A, but has not yet enrolled in Part B. She is considering
enrollment in a Medicare health plan (Part C). What should you
advise her to do before she will be able to enroll into a Medicare
health plan?
◉ Mrs. Park is an elderly retiree. She has a low, fixed income. What
could you tell Mrs. Park that might be of assistance?. Answer: d. She
, should contact her state Medicaid agency to see if she qualifies for
one of several programs that can help with Medicare costs for which
she is responsible. Correct
◉ Mr. Wu is eligible for Medicare. He has limited financial resources
but failed to qualify for the Part D low-income subsidy. Where might
he turn for help with his prescription drug costs?. Answer: a. Mr. Wu
may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance Program. Correct
◉ Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants to
understand the health care costs he might be exposed to under
Medicare if he were to require hospitalization as a result of an
illness. In general terms, what could you tell him about his costs for
inpatient hospital services under Original Medicare?. Answer: d.
Under Original Medicare, there is a single deductible amount due for
the first 60 days of any inpatient hospital stay, after which it
converts into a per-day coinsurance amount through day 90. After
day 90, he would pay a daily amount up to 60 days over his lifetime,
after which he would be responsible for all costs Correct
◉ Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy hospital
stay she will need a month or two of nursing and rehabilitative care.
What should you tell them about Original Medicare's coverage of
